House Bill 307 Summary

• Requires all health insurance carriers in Delaware to provide coverage for an annual behavioral health well check, establishing mental health parity with physical health examinations.

• Defines a behavioral health well check as an annual visit with a licensed mental health clinician (minimum master's degree) that includes medical history review, adverse childhood experiences evaluation, and validated mental health screening tools.

• Mandates reimbursement for behavioral health well checks using specific CPT codes (99381-99387 and 99391-99397) at the same rate as other medical care, with adjustments for non-physician clinicians applied comparably to physical health services.

• Allows annual behavioral health well checks to be incorporated into integrated primary care models, value-based arrangements, capitated arrangements, or bundled payment arrangements rather than traditional fee-for-service billing.

• Applies requirements to health maintenance organizations, insurance companies, health service corporations, Medicaid managed care plans, and the state employee benefits plan by amending Titles 18, 29, and 31 of the Delaware Code.